Outpatient procedure · APC 5414 · Surgery or procedure

Level 4 Gynecologic Procedures

In 2024, Medicare and patients paid an average of $3,013 per procedure at 1,170 hospitals. Half of hospitals averaged between $2,711 and $3,193.

Also known as: Gynecologic surgery, hysteroscopy

National figures, 2024

Average payment per case: $3,013
Typical range (middle half of hospitals): $2,711–$3,193
Medicare’s share: $2,38979% of the payment
Average billed charge: $21,077
Hospitals reporting: 1,17035,915 procedures

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Year of care

1,162 hospitals reported at least 11 Medicare procedures for this in 2024; showing 351–400. Download as CSV

Medicare payments per case for Level 4 Gynecologic Procedures by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
Novant Health Presbyterian Medical CenterCharlotte, NC · CCN 340053	60	$2,738	About average	$2,160	$14,978
Barnes Jewish HospitalSaint Louis, MO · CCN 260032	96	$2,738	About average	$2,170	$18,377
St Luke's Regional Medical CenterBoise, ID · CCN 130006	57	$2,738	About average	$2,163	$9,929
Piedmont Fayette HospitalFayetteville, GA · CCN 110215	21	$2,738	About average	$2,143	$36,487
UNC HospitalsChapel Hill, NC · CCN 340061	58	$2,738	About average	$2,155	$11,792
University Of Utah Hospital And ClinicsSalt Lake City, UT · CCN 460009	36	$2,739	About average	$2,169	$8,949
Mayo ClinicJacksonville, FL · CCN 100151	76	$2,743	About average	$2,167	$20,427
Jackson-Madison County General HospitalJackson, TN · CCN 440002	38	$2,745	About average	$2,175	$14,298
West Penn HospitalPittsburgh, PA · CCN 390090	78	$2,746	About average	$2,182	$16,548
North Carolina Baptist HospitalWinston-Salem, NC · CCN 340047	22	$2,747	About average	$2,160	$35,698
Wilkes-Barre General HospitalWilkes-Barre, PA · CCN 390137	46	$2,747	About average	$2,176	$29,413
SSM St Joseph Hospital WestLake Saint Louis, MO · CCN 260200	13	$2,747	About average	$2,182	$13,883
Physicians Regional Medical Center - Pine RidgeNaples, FL · CCN 100286	81	$2,749	About average	$2,173	$28,894
Beaumont Hospital - Grosse PointeGrosse Pointe, MI · CCN 230089	30	$2,750	About average	$2,186	$22,132
Ascension Seton Medical Center AustinAustin, TX · CCN 450056	18	$2,752	About average	$2,192	$37,553
Ascension Seton NorthwestAustin, TX · CCN 450867	16	$2,752	About average	$2,192	$32,966
Baylor Scott & White Medical Center - Round RockRound Rock, TX · CCN 670034	30	$2,752	About average	$2,192	$15,667
North Austin Medical CenterAustin, TX · CCN 450809	18	$2,752	About average	$2,192	$50,101
Christus Santa Rosa Hospital-San MarcosSan Marcos, TX · CCN 450272	11	$2,752	About average	$2,192	$43,945
University Of Michigan Health - WestWyoming, MI · CCN 230236	21	$2,752	About average	$2,193	$9,025
Advocate Illinois Masonic Medical CenterChicago, IL · CCN 140182	11	$2,753	About average	$2,150	$30,084
McLaren MacombMount Clemens, MI · CCN 230227	17	$2,754	About average	$2,193	$15,177
Novant Health Forsyth Medical CenterWinston-Salem, NC · CCN 340014	40	$2,754	About average	$2,180	$11,942
Penn State Health Lancaster Medical CenterLancaster, PA · CCN 390339	12	$2,755	About average	$2,195	$26,485
Carle Health Methodist HospitalPeoria, IL · CCN 140209	13	$2,756	About average	$2,196	$28,204
Covenant Medical CenterSaginaw, MI · CCN 230070	30	$2,758	About average	$2,191	$12,674
Duke University HospitalDurham, NC · CCN 340030	74	$2,759	About average	$2,184	$15,644
Advocate Good Samaritan HospitalDowners Grove, IL · CCN 140288	34	$2,760	About average	$2,156	$21,770
The Nebraska Medical CenterOmaha, NE · CCN 280013	39	$2,760	About average	$2,187	$12,854
Good Samaritan Medical CenterWest Palm Beach, FL · CCN 100287	32	$2,761	About average	$2,186	$56,227
St Luke's Hospital - Anderson CampusEaston, PA · CCN 390326	26	$2,762	About average	$2,183	$33,346
Baylor University Medical CenterDallas, TX · CCN 450021	52	$2,764	About average	$2,203	$22,272
Cape Fear Valley Medical CenterFayetteville, NC · CCN 340028	22	$2,765	About average	$2,200	$8,208
The East Alabama Healthcare AuthorityOpelika, AL · CCN 010029	17	$2,766	About average	$2,204	$9,349
Cape Coral HospitalCape Coral, FL · CCN 100244	32	$2,767	About average	$2,186	$23,545
Carolinas Medical Center/Behavioral HealthCharlotte, NC · CCN 340113	56	$2,769	About average	$2,198	$31,943
Catawba Valley Medical CenterHickory, NC · CCN 340143	17	$2,770	About average	$2,207	$14,715
Cleveland Clinic Martin North HospitalStuart, FL · CCN 100044	36	$2,770	About average	$2,194	$25,993
Houston Methodist West HospitalHouston, TX · CCN 670077	18	$2,771	About average	$2,181	$33,638
Waukesha Memorial HospitalWaukesha, WI · CCN 520008	30	$2,772	About average	$2,194	$15,797
Halifax Health Medical CenterDaytona Beach, FL · CCN 100017	38	$2,773	About average	$2,193	$26,648
UPMC Pinnacle HospitalsHarrisburg, PA · CCN 390067	60	$2,773	About average	$2,210	$12,169
Ascension St Vincent HospitalIndianapolis, IN · CCN 150084	70	$2,774	About average	$2,203	$25,638
FirstHealth Moore Regional HospitalPinehurst, NC · CCN 340115	27	$2,774	About average	$2,210	$13,944
UF Health Shands HospitalGainesville, FL · CCN 100113	39	$2,774	About average	$2,198	$24,551
High Point Regional Health SystemHigh Point, NC · CCN 340004	15	$2,778	About average	$2,213	$25,006
Northeast Georgia Medical Center, IncGainesville, GA · CCN 110029	61	$2,779	About average	$2,197	$31,962
Sacred Heart HospitalPensacola, FL · CCN 100025	33	$2,780	About average	$2,213	$22,045
Longview Regional Medical CenterLongview, TX · CCN 450702	13	$2,781	About average	$2,214	$60,280
Mercy Hospital JeffersonCrystal City, MO · CCN 260023	19	$2,782	About average	$2,217	$14,200

National trend

Average payment and billed charge per procedure, and how many Medicare procedures were reported each year.

Average payment
Average billed charge

2020: 29,962 procedures at 1,100 hospitals · 2021: 34,500 procedures at 1,201 hospitals · 2022: 34,930 procedures at 1,190 hospitals · 2023: 35,603 procedures at 1,165 hospitals · 2024: 35,915 procedures at 1,170 hospitals

View data as a table

National average payment and billed charge for Level 4 Gynecologic Procedures
Year of care	Average payment	Average billed charge
2020	$2,511	$17K
2021	$2,652	$18K
2022	$2,687	$18K
2023	$2,819	$20K
2024	$3,013	$21K

By state, 2024

Case-weighted average payment across each state’s reporting hospitals, lowest first.

Show all 49 states

Average payment by state for Level 4 Gynecologic Procedures, 2024
State	Hospitals	Cases	Average payment	Typical range
Vermont	5	130	$1,562	$1,321–$1,552
Mississippi	10	223	$2,559	$2,463–$2,617
Louisiana	14	319	$2,560	$2,517–$2,638
Alabama	12	294	$2,560	$2,519–$2,616
Tennessee	20	659	$2,585	$2,509–$2,672
West Virginia	10	280	$2,592	$2,543–$2,616
Ohio	50	1,504	$2,609	$2,606–$2,719
Kentucky	17	455	$2,647	$2,602–$2,707
Oklahoma	15	407	$2,652	$2,636–$2,694
Arkansas	17	378	$2,663	$2,602–$2,698
South Carolina	30	812	$2,684	$2,647–$2,697
Kansas	12	316	$2,700	$2,655–$2,730
Michigan	45	1,301	$2,711	$2,610–$2,792
Iowa	14	447	$2,727	$2,677–$2,717
Missouri	29	854	$2,732	$2,660–$2,805
New Mexico	6	162	$2,736	$2,694–$2,844
Georgia	31	853	$2,750	$2,644–$2,901
North Carolina	35	1,065	$2,760	$2,712–$2,809
Texas	53	1,250	$2,779	$2,713–$2,853
Virginia	36	1,184	$2,785	$2,692–$2,881
Nebraska	5	161	$2,786	$2,760–$2,817
Utah	4	91	$2,787	$2,733–$2,850
Florida	70	2,272	$2,794	$2,773–$2,832
Indiana	35	841	$2,800	$2,716–$2,849
Wisconsin	30	687	$2,861	$2,801–$2,920
Idaho	4	136	$2,866	$2,795–$2,985
Maine	7	161	$2,882	$2,887–$2,956
New Hampshire	9	308	$2,891	$2,925–$3,054
Pennsylvania	72	2,316	$2,894	$2,792–$3,016
Illinois	58	1,770	$2,917	$2,889–$2,968
South Dakota	8	229	$2,947	$2,924–$3,139
Montana	7	163	$2,953	$2,864–$3,035
Colorado	21	498	$2,993	$2,976–$2,977
North Dakota	5	128	$2,995	$2,931–$3,061
Arizona	22	628	$3,020	$2,980–$3,049
Minnesota	27	876	$3,044	$2,966–$3,094
Rhode Island	2	135	$3,079	$3,079–$3,093
Delaware	6	314	$3,109	$3,106–$3,137
District of Columbia	4	204	$3,163	$3,108–$3,179
Washington	26	654	$3,191	$3,100–$3,293
New Jersey	39	1,471	$3,290	$3,253–$3,358
Nevada	7	157	$3,319	$3,309–$3,349
Alaska	5	79	$3,334	$3,303–$3,456
Massachusetts	40	1,863	$3,335	$3,333–$3,358
Oregon	16	378	$3,348	$3,192–$3,308
Connecticut	16	485	$3,410	$3,360–$3,509
New York	72	3,172	$3,433	$3,315–$3,530
Hawaii	3	92	$3,505	$3,457–$3,685
California	89	2,753	$3,978	$3,844–$4,173

About these numbers

Average payment is what Medicare paid plus the patient’s deductible and coinsurance (and any other insurer), averaged over the hospital’s Medicare cases. It covers the hospital’s part of the care; doctors bill separately. For outpatient procedures it is Medicare’s allowed amount, which leaves out extra “outlier” payments for unusually costly cases; those are shown under the hospital name where CMS reported any, and included in the CSV. Billed charges are the hospital’s list prices, which few patients pay.

Medicare sets its payments by formula, adjusting for local wages, teaching programs, the share of low-income patients and unusually costly cases. Those adjustments drive most differences between hospitals, so a lower payment doesn’t mean better or worse care, and Medicare patients’ own costs usually vary much less than the totals. Private insurance pays different, usually higher, prices.

Source: CMS Medicare Outpatient Hospitals by Provider and Service (Medicare fee-for-service claims). CMS omits hospitals with fewer than 11 procedures. More in the glossary.